BACKGROUND AND OBJECTIVES: Tinnitus is a disease with high prevalence and a wide range of etiologies. Tinnitus has a lot of impact on the patients, causing psychological distress such as anxiety and depression. Type D personality is related to the negative emotions including to anxiety and depression. Therefore, the goal of this study was to understand the relationship between tinnitus and anxiety/depression/type D personality. SUBJECTS AND METHOD: Ninety three patients with chronic subjective tinnitus, who visited the Department of Otorhinolaryngology-Head Neck Surgery in Yeungnam University Hospital from May, 2012 to October, 2012. The tinnitus patients were asked to complete a survey: regarding demographic data, otologic history, Beck Depression Inventory (BDI), Hamilton anxiety scale (HAM-A), type D personality scale 14 (DS-14), and tinnitus handicap inventory (THI). RESULTS: The tinnitus patients had significantly higher levels of type D personality (58.1%). In the tinnitus patients, as the score of THI increased, the BDI and HAM-A scores increased. As the DS-14 score increased, the THI scores increased. CONCLUSION: These results suggest that the tinnitus patients have high prevalence of type D personality compared to that shown in the general population. And the handicap of tinnitus is related to anxiety, depression and type D personality.
Anxiety* ; Depression* ; Humans ; Neck ; Prevalence ; Tinnitus* ; Type D Personality*

BACKGROUND AND OBJECTIVES: Dizziness often takes a chronic course and can influence the emotion of life. Dizziness is associated with psychological factors such as anxiety and depression. Type D personality is also related to the negative emotions including anxiety and depression. Therefore, the aim of this study was to determine the correlation between chronic dizziness and anxiety/depression/type D personality. MATERIALS AND METHODS: Chronic dizziness was defined when the dizziness had persisted more than three months. We analyzed the data of 72 patients with chronic dizziness between November 2012 and August 2014. The patients with chronic dizziness were asked to complete a survey regarding demographic data, history of dizziness, Beck depression inventory-II (BDI-II), Hamilton anxiety scale (HAM-A), type D personality scale 14 (DS-14), and dizziness handicap inventory (DHI). RESULTS: The patients with chronic dizziness had a trend of higher frequency of type D personality (52.7%) compared to general population. In the patients with chronic dizziness, there was significant positive correlation between DHI score and BDI-II, HAM-A, and DS-14 score. CONCLUSION: These results suggest that the patients with chronic dizziness, compared to the general population, have a trend of higher frequency of type D personality. There is significant positive correlation between chronic dizziness and anxiety/depression/type D personality.
Anxiety ; Depression ; Dizziness ; Humans ; Psychology ; Type D Personality

OBJECTIVE: To explore the correlation between different personality characteristics and self-management attitude such as medication, exercise and diet in patients with type 2 diabetes mellitus. METHODS: The patients with type 2 diabetes mellitus from 4 Community Healthcare Services and 22 affiliated community stations of Tongzhou District and Shunyi District of Beijing were selected as subjects. The Chinese big five personality inventory and the self-designed scale including the attitudes of medication, exercise and diet were used in the study. RESULTS: In this study, 642 subjects were finally included, among whom the sex ratio of male and female was basically the same, 61.21% were over 61 years old. In this study, different genders had differences in neurotic personality (P<0.05), different age groups had differences in agreeableness and openness (P<0.05), different education levels had differences in openness and extraversion (P<0.05), and different income levels had differences in agreeableness, openness and extraversion (P<0.05). The linear correlation analysis of the five-factor moldel of personality traits with medication, exercise and diet attitude showed that three items of perceived disorders of medication were positively correlated with neuroticism (r=0.125, 0.187, 0.151, P<0.05), four items of perceived disorders of exercise were positively correlated with neurotic personality (r=0.163, 0.129, 0.119, 0.104, P<0.05), and perceived benefits of exercise were positively correlated with conscientiousness (five items, r=0.156, 0.111, 0.131, 0.104, 0.131, P<0.05), agreeableness (two items, r=0.092, 0.078, P<0.05) and extraversion (four items, r=0.079, 0.122, 0.115, 0.123, P<0.05), three items of perceived disorders of diet were positively correlated with neuroticism (r=0.115, 0.137, 0.108, P<0.05), and two items of were negatively correlated with conscientiousness (r=－0.126, －0.161, P<0.05) and agreeableness (r=－0.103, －0.115, P<0.05). In the canonical correlation analysis, according to the formula combination of three groups of typical variables and canonical structure diagrams, neuroticism and agreeableness played major roles in personality traits, and items that represented "obstacles" in medication, exercise, and dietary attitudes played a major role. CONCLUSION All the five personality traits were correlated with the self-management attitude of type 2 diabetes patients, and different personality traits have an impact on the self-management of patients with type 2 diabetes mellitus. In particular, it is of great significance to understand neuroticism for improving the mental health and quality of life of patients with type 2 diabetes mellitus. Therefore, attention should be paid to the influence of psychological factors in community management of type 2 diabetes and disease self-management, and the personalized care and health education should be carried out according to the personality traits of patients.
Attitude ; Beijing ; Diabetes Mellitus, Type 2 ; Female ; Humans ; Male ; Middle Aged ; Personality ; Personality Inventory ; Quality of Life ; Self-Management

PURPOSE: This study was done to identify the effects of Type D personality on compassion fatigue, burnout, compassion satisfaction, and job stress in clinical nurses. METHODS: A descriptive cross-sectional design was used. Data were collected from a convenience sample of 172 clinical nurses working in two tertiary hospitals. The structured questionnaires included Type D personality scale, compassion fatigue, burnout, compassion satisfaction, and job stress scales. RESULTS: About 79.7% of participants were classified as Type D personality group. The Type D personality was not related to general characteristics of clinical nurses. The Type D personality group showed statistically significant higher compassion fatigue, burnout, and job stress and lower compassion satisfaction compared to the non-Type D personality group. In addition, compassion fatigue and burnout were positively correlated with job stress and compassion fatigue was positively correlated with burnout. However, compassion satisfaction was negatively correlated with burnout. CONCLUSION: As the prevalence of Type D personality is high in clinical nurses, it is necessary to assess stress-related personality. In addition, management for the nurse with Type D personality is required to alleviate compassion fatigue, burnout, and job stress and to improve compassion satisfaction.
Empathy* ; Fatigue* ; Prevalence ; Surveys and Questionnaires ; Tertiary Care Centers ; Type D Personality* ; Weights and Measures

PURPOSE: The purpose of study was to examine and compare the clinical practicum stress, depression, and self-efficacy between Type D and non-Type D personality among nursing students. METHODS: This study used a descriptive correlational survey design. Subjects included a total of 120 nursing students (Type D personality: n=60, non-Type D personality: n=60) in Seoul, Korea. The collected data were analyzed using a descriptive statistics, χ² test, Fisher's exact test, independent t-test, ANCOVA, and Scheffe test as a post hoc test with SPSS/WIN 21.0 program. RESULTS: There were significant differences on clinical practicum stress (t=2.81, p=.029), depression (t=6.67, p<.001), and self-efficacy (t=9.84. p<.001) between non-Type D and Type D personality among nursing students. CONCLUSION: Type D personality in nursing students had higher clinical practicum stress and depression than them of non-Type D personality in nursing students. Nursing interventions or strategies for Type D personality in nursing students are needed to decrease clinical practicum stress and depression.
Depression* ; Humans ; Korea ; Nursing* ; Preceptorship* ; Seoul ; Students, Nursing* ; Type D Personality*

The purpose of this study was to examine the relationship between emotional labor and burnout, and whether the levels of self-efficacy and type A personality characteristics increase the risk of burnout in a sample of Korean female dental hygienists. Participants were 807 female dental hygienists with experience in performing customer service for one year or more in dental clinics, dental hospitals, or general hospitals in Korea. Data were collected using a structured self-administered questionnaire. A hierarchical multiple linear regression analysis was used to examine the effects of emotional labor on burnout, and to elucidate the additive effects of self-efficacy and type A personality on burnout. The results showed that “overload and conflict in customer service,”“emotional disharmony and hurt,” and “lack of a supportive and protective system in the organization” were positively associated with burnout. With reference to the relationship between personality traits and burnout, we found that personal traits such as self-efficacy and type A personality were significantly related to burnout, which confirmed the additive effects of self-efficacy and type A personality on burnout. These results indicate that engaging in excessive and prolonged emotional work in customer service roles is more likely to increase burnout. Additionally, an insufficient organizational supportive and protective system toward the negative consequences of emotional labor was found to accelerate burnout. The present findings also revealed that personality traits such as self-efficacy and type A personality are also important in understanding the relationship between emotional labor and burnout.
Dental Clinics ; Dental Hygienists* ; Female ; Hospitals, General ; Humans ; Korea ; Linear Models ; Type A Personality*

PURPOSE: This study was conducted to identify the personality type, problematic drinking pattern, and stress coping style of the nasal bone fracture patients by comparing those with general fracture patients. METHODS: 50 nasal bone fracture patients due to violence and 50 general fracture patients due to simple trauma, such as fall and traffic accident were conveniently selected. RESULTS: The study results showed that nasal bone fracture patients due to violence significantly presented higher level of A type personality and more problematic drinking pattern than general fracture patients due to simple trauma. Stress coping style, however, did not show significant difference between two groups. CONCLUSION: In order to prepare prevention strategies for basal bone fracture in the future, health education alter problematic drinking habit to sound drinking pattern may be offered and provided nursing interventions tailored to A type personality.
Accidents, Traffic ; Adaptation, Psychological ; Drinking ; Fractures, Bone ; Health Education ; Humans ; Nasal Bone ; Type A Personality ; Violence

OBJECTIVE: Type D personality can be regarded as a promising cardiovascular risk marker that has been repeatedly linked to relevant indicators of mental health, quality of life, morbidity, and mortality in cardiac patients. Heart rate variability (HRV) is a non-invasive technology that can provide information regarding a patient's sympathetic/parasympathetic balance and the control mechanisms of the autonomic systems in the cardiovascular system. As both type D personality and HRV are parameters related to the cardiovascular system, we assumed a relationship between type D personality and HRV. This study set out to identify the relationship between type D and HRV and the differences in HRV variables between type D and non-type D personalities. METHODS: Patients who visited Guro Community Mental Health Center from January 2011 to December 2012 were surveyed. They were evaluated using both the Korean version of the Type D Personality-14 for type D personality and HRV. During the survey, those who reported major cardiovascular disease that can affect heart rate variability were excluded from the study. RESULTS: Our analysis included 559 participants, 249 of whom were classified as type D personality. No significant differences were found in the HRV variables between the type D group and the non-type D group. There were also no clinically meaningful correlations between HRV variables and type D total/subscale scores when controlled for patient age. CONCLUSION: A relationship between HRV and type D personality was not identified using short-term HRV measurements in non-clinical patients with no definitive cardiovascular disease. Further studies using long-term HRV measurements in patients with cardiovascular disease are necessary to conclude an association between HRV and type D personality.
Cardiovascular Diseases ; Cardiovascular System ; Heart Rate* ; Humans ; Mental Health* ; Mortality ; Quality of Life ; Type D Personality*

OBJECTIVE: To explore the personality portraits of patients with type 2 diabetes mellitus (T2DM), its relationship with medication adherence and the influencing factors of medication adherence. METHODS: T2DM patients from 22 community health service stations of 4 community health service centers in Tongzhou district and Shunyi district in Beijing were selected as the research objects. A self-designed questionnaire was used to collect demographic information. The short version of Big Five personality scale was used to collect personality information, and latent profile analysis was used to explore their personality portraits. The medication adherence was evaluated by medication adherence scale, and the difference of medication adherence among the different personality portraits was explored by analysis of variance. The influencing factors of medication adherence were explored by the ordinal Logistic regression model. RESULTS: In the study, 751 T2DM patients were included. Latent profile analysis showed that the T2DM patients in this study could be divided into four types of personality portraits, including introverted and stable type (42.7%), negative type (12.7%), anxiety type (15.3%) and active and responsible type (29.3%). Among them, 75 patients said that they did not use medicine or insulin, 5 patients were lack of data, and finally 671 patients with T2DM were included in the analysis about medication adherence. The analysis of variance showed that there was no significant difference in medication adherence between anxiety type (5.55±1.65) and negative type (5.94±1.53, P=0.089), but the medication adherence score of anxiety type was significantly lower than that of introverted and stable type (6.17±1.46, P=0.001) and active and responsible type (6.09±1.65, P=0.004). Anxiety type and negative type were seen as a whole in the ordinal Logistic regression model named anxiety and negative type. The results showed that compared with anxiety and negative type, the active and responsible type or introverted and stable type was the protective factor for good medication adherence (OR=1.567, 95%CI: 1.096-2.237; OR=1.774, 95%CI: 1.214-2.591), and the education level also affected the medication adherence. CONCLUSION T2DM can be classified into four types of personality portraits based on Big Five personality theory. The anxiety and negative type after the combination of anxiety type and negative type is the independent risk factor for poor medication adherence. In addition, education level is also the influencing factor of medication compliance.
Anxiety/epidemiology* ; Beijing ; Diabetes Mellitus, Type 2/drug therapy* ; Humans ; Medication Adherence ; Personality

PURPOSE: This study was performed to identify the factors that influence dysmenorrhea. METHODS: In this study, 205 female participants were enrolled. Data were collected using a structured questionnaire that included scales to assess general characteristics, personality type, dietary assessment, eincrease exposure toward endocrine disrupting chemicals, and the occurrence of dysmenorrhea. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlational coefficient, and stepwise multiple regression, using the SPSS/WIN 21.0 program. RESULTS: The average score for dysmenorrhea was 85.04±32.69 points. The percentage of participants belonging to the Type D Personality group was 21.0%. Type D Personality (r=0.473, p < 0.001) and increase exposure toward endocrine disrupting chemicals (r=0.532, p < 0.001) correlated moderately with the level of dysmenorrhea. The correlation between the degree of dietary assessment and the level of dysmenorrhea was weakly negative (r=−0.170, p < 0.05). The most powerful predictor of dysmenorrhea was personality type (β=0.37, p < 0.001). A combination of the following factors accounted for 27.3% of the variance in dysmenorrhea: menstrual amount, menstrual regulation, occupation, and marital status. CONCLUSIONS: The results indicate that when nursing assessments and interventions are performed for women with dysmenorrhea, it is necessary for nurses to take into account the personality type of the patient.
Dysmenorrhea ; Endocrine Disruptors ; Female ; Humans ; Marital Status ; Nursing Assessment ; Occupations ; Type D Personality ; Weights and Measures